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P. 02 <br /> SEP-12-01 IJ�D 10�55 i{M EVF.RETT PERMIT S@RVICES FA}t 60, 425 257 8857 � <br /> pERMIT APPLICATI�N <br /> . ' � °' CITY OF EVERETT PERMIT SERVICES <br /> ����� 8200 CEDA�t STRE6T, EVERETf,WA 88201� 425-257-8810 � <br /> 1 PARCEL TAX I,D�1f PERMIT� � <br /> ( SITE ADDRESS p 30(p–('JZ�p � <br /> 5t� z��d �v� � , <br /> LEGA! LOT N0. BLOCK TRACT <br /> DFSC. PHONE <br /> OWNER ' ADDRE8S , �� �� g�� <br /> �I C�r���� 5ici z3�a Y��� � ( 1 <br /> _� � PHONE � <br /> TENANT NAME I CONTAGT NO'AE � <br /> � �! I: CONTii•UCENSE M <br /> 1�� ADDRE58 � � b 1 j <br /> a ��aA-oR-- �r��-�3T�a�`> r�0�-1- Hw`� �19 <br /> �� y��J ���� �/�-- . Fdx � � � I A�V►��ue33Du <br /> ��' PHONE ZS —I�{ Jr �45 LYN� UJ� � �C13� <br /> S �TI .. W <br /> �D Building ` Addiiion HEAT SOUFiCE <br /> PROpO3E�USE OF 6UILDINO �����g WORK � uon Elxtric <br /> PERMIT B Comhinotlon ' ,n,� ua <br /> rrae [� Demolitian g�9� Repen/'daint Olhar <br /> u Sprinklei <br /> ��,L ' z `� CITY OF EVEREif 1-OCAL SAL.ES TA%CODH IS 3106 <br /> CONTRACT PRICE OF WORK P-}we�, 1 <br /> WORK DESCRIPTION <br /> i i <br /> I P61l�.fllba Np, TYPE OF Fl%TURE OR REM <br /> NO. TYPE OF FU(TURc Ofl ITlM <br /> A!C-AhIANOLING UNITS <br /> WATER GLOSET � FORCED A,R SYSTEMS <br /> BAT:-17UB -- NEAT PUMP <br /> �' �� IAVATOAY(WASH BASIN� UNIT FiEATER3 <br /> y SHOWER � CLOTHE9 DRYER <br /> - J �1TCNEN SIMK&DISPOSAL qqryC�NOOD <br /> ��� pIoHWASHcH WATER HEATER <br /> — LAUNDRY TI9AY � M�'fAL FIREPLACEfSTOVE <br /> C�OTHES VJAS��ER i FIREPIACE INSEST <br /> URINAL GAS FIREPLACE <br /> bRINKINO FOUNTAIN � pq$RANCie <br /> � FLAOP PRAIN GAS PIPINCi �L3 � <br /> �— BACKrLGWPRNENTER pj(�USTFAN ,S" w`,��•,w �� <br /> SINK(SERVICEBAFVMOPIETC•) � OTHER�"8�_ <br /> OTHER_�� -�- _ jnsF.,I�:n� Z <br /> � �� _._.�----" _ inJc fi <br /> ^....-�" — <br /> � .__. <br /> ��— <br /> I Pf;OY15C�50IF�L0.WSAN00RIDNACESGOV�ERNINQTMIS'iVPE0�W0�KW�0ECOMPLECWI HWHET ER9PECIFEDH1EREIYCR <br /> IS�p;Cq COC<l'lAW REGUTATINO C�57FiUCT O6'd OR TOHE PERFORMAN E OP CCN9TRU�CTI�V.CTHA7 AM U1T�ORIZO 0 BY�HEF <br /> IC0�'I nAC POPS LNVl�P0.27 ROW ANO 86.200 WACOnN FOR WFiICH APPLICATION 19 MADE AND I COMPLY Wf'f}i TME 57ATE <br /> . /'- Z Y- o� <br /> iqra4�re cl6wner�Cor ract dA�lhonzetl ngen <br /> Date <br /> .._.._._.�— <br />